| Elm Behavioral Health | |
|
2600 Wistar St Henrico VA 23294-3634 | |
| (804) 205-4381 | |
| Not Available |
| Full Name | Elm Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2600 Wistar St, Henrico, Virginia |
| Authorized Official Name and Position | Craig Marrer (OWNER) |
| Authorized Official Contact | 8042054381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Behavioral Health 2600 Wistar St Henrico VA 23294-3634 Ph: (804) 205-4381 | Elm Behavioral Health 2600 Wistar St Henrico VA 23294-3634 Ph: (804) 205-4381 |
| NPI Number | 1205452273 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205452273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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